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General NPI Number Information
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NPI Number | 1548128101
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Entity Type | Organization
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Legal Business Name | KAVIRA HEALTH PLLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1600 UTICA AVE S
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-1443
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Country | US
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Telephone | 612-702-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 WAYZATA BLVD E # 162
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City | WAYZATA
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State | MN
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Zip | 55391-1935
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Country | US
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Telephone | 612-702-5420
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Fax | 763-363-0333
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Authorized Official
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Title or Position | VP OF CLINICAL SERVICES
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Name | KAYLA GAFFNEY
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Credential | RN
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Telephone | 612-702-5420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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